Can Mild Hypertelorism (Wide Set Eyes) Be Fixed by Orbital Fat Removal?

The crux of your problem is based on bone structure anatomy. This means that any soft tissue procedure you pursue would have a limited effect. Orbital fat removal can make the eyes looks less puffy, if your eyes are puffy to begin with. In addition, orbital fat removal can cause the eyes to recede inward, so if your eyes are fairly prominent there could be some potential benefit. The anatomy of the bone structure around the eyes could limit the amount of orbital fat removal that is possible so I would recommend that you meet with a craniofacial surgeon to discuss this option.

Removing fat will not move your eye closer to the nose. It will rather just make your eyes appear more sunken or hollow. Your problem is really not a problem at all, but rather a variation of the normal. This is a feature that you need to accept as unique and special to you.

Mild hypertelorism as a defect is a little bit controversial. Many people believe that mild hypertelorism is not a true defect at all but can be considered a aminor deviation from normal. As I recall Jackie Kennedy had a mild hypertelorism and was consider beautiful. With no medial canthal dystopia or epicanthal folds canthopexy is not helpful. Removing fat from the orbit will definitely not move the eyeball. My advice is a bit of deception as raising the nasal dorsum can create the illusion of more narrow eye width. Of the options mentioned this may be the most feasible.